PT  - JOURNAL ARTICLE
AU  - M. Ruth Lavergne
AU  - David Rudoler
AU  - Sandra Peterson
AU  - David Stock
AU  - Carole Taylor
AU  - Andrew S. Wilton
AU  - Sabrina T. Wong
AU  - Ian Scott
AU  - Kimberlyn M. McGrail
AU  - Rita McCracken
AU  - Emily G. Marshall
AU  - Adrian MacKenzie
AU  - Alan Katz
AU  - Margaret Jamieson
AU  - Lindsay Hedden
AU  - Agnes Grudniewicz
AU  - Laurie J. Goldsmith
AU  - Richard H. Glazier
AU  - Fred Burge
AU  - Doug Blackie
TI  - Declining Comprehensiveness of Services Delivered by Canadian Family Physicians Is Not Driven by Early-Career Physicians
AID  - 10.1370/afm.2945
DP  - 2023 Mar 01
TA  - The Annals of Family Medicine
PG  - 151--156
VI  - 21
IP  - 2
4099  - http://www.annfammed.org/content/21/2/151.short
4100  - http://www.annfammed.org/content/21/2/151.full
SO  - Ann Fam Med2023 Mar 01; 21
AB  - We describe changes in the comprehensiveness of services delivered by family physicians in 4 Canadian provinces (British Columbia, Manitoba, Ontario, Nova Scotia) during the periods 1999-2000 and 2017-2018 and explore if changes differ by years in practice. We measured comprehensiveness using province-wide billing data across 7 settings (home, long-term care, emergency department, hospital, obstetrics, surgical assistance, anesthesiology) and 7 service areas (pre/postnatal care, Papanicolaou [Pap] testing, mental health, substance use, cancer care, minor surgery, palliative home visits). Comprehensiveness declined in all provinces, with greater changes in number of service settings than service areas. Decreases were no greater among new-to-practice physicians.